摘要
目的探讨白内障施行晶状体超声乳化术中后囊破裂的原因及处理。方法白内障行超声乳化术825例（896眼）。对术中39例（39眼）后囊破裂进行分析。结果术中39例（39眼）出现后囊破裂（4．35％），其中发生于撕囊时4例，水分离时5例，超声乳化过程中27例，吸出皮质时3例。经适当处理均同期植入人工晶体。术后视力≥0．3者29例（74．36％）。术后12例（30．77％）角膜水肿，均在1周内恢复。结论晶状体后囊破裂是超声乳化术中常见的并发症，可发生于多个步骤．术中及时发现后囊破裂并正确处理．仍可能获得较好的视力。
Objective To discuss the causes and treatment measurements of posterior capsule rupture in the phacoemulsification for cataracts. Methods 39 cases （39 eyes） with posterior capsule rupture in 825 patients （ 896 eyes） performed with phacoemulsification were retrospective analyzed. Results The posterior capsule in 39 cases （39 eyes） were ruptured （4.35%）, including g cases in capsulorhexis, 5 ca- ses in hydrodissection,27 cases in the process of emulsification and 3 cases in the cortex extraction. After the treatment with IOL implantation, the visual acuity in 29 eyes was equal to or more than 0. 3 （74.36%） ; The corneal edema appeared in 12 eyes （30.77%）, all of them recovered within a week. Conclusion Posterior capsule rupture is a familiar complication in phacoemulsification and happens in varial steps. Appropriate and timely intraoperative management will bring good visual acuity.
出处
《中华眼外伤职业眼病杂志》
2012年第5期377-379,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
